Carpal Tunnel Syndrome

Xie Y, Zhang C, Liang B, Wang J, Wang L, Wan T, Xu F, Lei L. Effects of shock wave therapy in patients with carpal tunnel syndrome: a systematic review and meta-analysis. Disability and Rehabilitation. 2020 May 14:1-2.

Purpose: To determine whether shock wave therapy could improve symptoms and hand function in patients with carpal tunnel syndrome.

Results: Ten trials involving 433 patients (501 wrists) were included in this systematic review. The shock wave therapy was observed to have a significant effect on pain relief (MD: ?0.60, 95% CI: ?1.16 to ?0.05, p?=?0.03), syndrome alleviation (MD: ?2.26, 95% CI: ?3.24 to ?1.27, p?<?0.00001) and functional recovery (MD: ?1.25 95% CI: ?2.08 to ?0.43, p?=?0.003) among the carpal tunnel syndrome patients. As revealed by the subgroup analysis, radial shock wave therapy made a significant difference in pain relief, syndrome alleviation, and functional recovery (p?<?0.05). Focused shock wave had no significant effect on pain relief, syndrome alleviation, and functional recovery (p?>?0.05).

Conclusion: Shock wave therapy could be conductive to improve syndrome and hand function for carpal tunnel syndrome patients.

  • Implications for rehabilitation
  • Shock wave therapy is beneficial for alleviating syndrome and improving hand function of carpal tunnel syndrome patients.
  • Radial shock wave therapy seems superior to focused shock wave therapy on syndrome alleviation and functional recovery of hand in carpal tunnel syndrome patients.

Additional information

Dr. Jeffrey Tucker is the only Los Angeles practitioner with 3 different shockwave (radial & focused) devices. This allows for the most customized and personalized treatment therapy that is non-invasive for CTS.

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